Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $303.63 / $303.63	Professional		$275.39	$303.63	$303.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.49 / $575.49 / $575.49	Facility		$575.49	$575.49	$575.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.28 / $437.28 / $454.97	Professional		$437.28	$437.28	$454.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $358.71	Facility		$358.71	$358.71	$358.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $421.12	Professional		$304.89	$358.71	$421.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $459.89 / $1,290.96 / $1,636.24	Professional		$459.89	$1,290.96	$1,636.24
United Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $173.81 / $293.47	Facility		$24.60	$173.81	$293.47
United Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $292.72 / $435.14	Professional		$195.14	$292.72	$435.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $496.29 / $631.64	Professional		$447.92	$496.29	$631.64